Getting better or getting by?: A qualitative study of in-hospital cardiac arrest survivors long-term recovery experiences.
Getting better or getting by?: A qualitative study of in-hospital cardiac arrest survivors long-term recovery experiences.
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DOI：
10.1016/j.ssmqr.2021.100002
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发表时间：
2021-12
期刊：
影响因子：
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通讯作者：
Iwashyna, Theodore J.
中科院分区：
文献类型：
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作者：
Harrod, Molly;Kamphuis, Lee A.;Hauschildt, Katrina;Seigworth, Claire;Korpela, Peggy R.;Rouse, Marylena;Vincent, Brenda M.;Nallamothu, Brahmajee K.;Iwashyna, Theodore J.
关键词：
在美国，每年约有292，000名成年人（>18岁）发生院内心脏骤停（IHCA）。在过去十年中，幸存率有所提高，许多幸存者返回自己的社区。IHCA被认为是一种独特的疾病实体，因为逮捕发生在医疗保健环境中，幸存者往往有更多的医疗共病。虽然更多的人在IHCA中幸存下来，但对他们的长期恢复经验知之甚少。半结构化访谈19 IHCA幸存者进行了更好地了解他们的恢复经验，并确定他们认为有助于他们恢复的适应策略。专题分析表明，国际人道主义援助幸存者在恢复方面面临持续挑战。重新认识独立性对于一些参与者重新参与社会和身体活动是必要的，少数人能够参与新的活动。我们的研究结果表明，IHCA幸存者往往制定自己的适应策略，以继续参与他们的社会生活，他们的恢复经验正在进行中。干预计划和后续护理应不断询问幸存者对他们来说什么是重要的，并确定支持他们目标的资源。问题应包括超出与IHCA具体相关的目标的身体、认知、心理和社会目标，因为我们的研究结果表明IHCA的影响是持久的，并且涵盖幸存者生活的各个方面。
In the United States, approximately 292,000 adults (>18 years old) per year suffer an in-hospital cardiac arrest (IHCA). Survival rates have increased over the last decade and many survivors return to their communities. IHCA has been recognized as a unique disease entity because the arrest happens in a medical care setting and survivors often have more medical co-morbidities. Although more individuals are surviving IHCA, very little is known about their long-term recovery experiences. Semi-structured interviews with 19 IHCA survivors were conducted to better understand their recovery experiences and identify strategies of adaptation that they felt aided their recovery. Thematic analysis indicated that IHCA survivors experience ongoing challenges to recovery. Reconceptualization of independence was necessary for some participants to re-engage in social and physical activities and a few were able to engage in new activities. Our findings suggest that IHCA survivors often develop their own strategies for adaptation in order to continue participation in their social lives and that their recovery experiences are ongoing. Intervention programs and follow-up care should continuously ask survivors what is important to them and identify resources that will support their goals. Questions should include physical, cognitive, psychological and social goals that extend beyond those specifically related to IHCA since our findings indicate that the effects of IHCA are long-lasting and encompass all aspects of survivors’ lives.